Provider Demographics
NPI:1770790081
Name:EYE PHYSICIANS, P.C.
Entity type:Organization
Organization Name:EYE PHYSICIANS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-569-3688
Mailing Address - Street 1:PO BOX 1275
Mailing Address - Street 2:3772 43 AVE SUITE A
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68602-1275
Mailing Address - Country:US
Mailing Address - Phone:402-563-3688
Mailing Address - Fax:402-564-1797
Practice Address - Street 1:3772 43 AVE
Practice Address - Street 2:SUITE A
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68602-1275
Practice Address - Country:US
Practice Address - Phone:402-563-3688
Practice Address - Fax:402-564-1797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1147120001Medicare NSC